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Abstract

Objective:

To test the clinical effect of a web-based lower back pain intervention on quality of life and selected lower back pain outcomes.

Design:

A prospective single-blinded randomized intervention.

Setting:

Occupational preventive service.

Subjects:

One hundred office workers with non-specific subacute lower back pain.

Intervention:

The 50 intervention group subjects were educated daily about sitting correctly and asked to perform exercises shown by video demonstrations on the university website. The exercise routines included strengthening, mobility and stretching exercises focused on the postural stability muscles. The 50 control group subjects only received standard occupational care.

Measures:

Outcomes were measured by the EuroQol questionnaire five dimensions three levels, the Oswestry Disability Index, and the StarT Back Screening Tool questionnaires. At nine months, the intervention group outcomes were compared to the baseline data and the control group outcomes.

Results:

For 97% (n = 45) of the experimental group quality of life (clinical utility) improved significantly; 3.58 times greater than the control group. Oswestry Disability Index showed an odds ratio (OR) of 5.42 with a 37% (n = 17) change for the intervention group with respect to the control group. With regard to the StarT Back Screening Tool, 76% (n = 35) of the intervention group improved their clinical state (odds ratio = 3.04 with respect to the control group improvement). Logistic regression analysis revealed positive changes in EuroQol questionnaire, increasing the likelihood of observing positive changes in StarT Back Screening Tool (OR = 15.5) and Oswestry Disability Index (OR = 4.5).

Conclusions:

The intervention showed clinical improvements in quality of life and selected lower back pain outcomes in the experimental group compared to the control group.

Keywords

Chronic disability chronic low back pain clinical evaluation exercise programme health status

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References

Fayad

Lefevre-Colau

Poiraudeau

. Chronicity, recurrence, and return to work in low back pain: common prognostic factors. Ann Readapt Med Phys 2004; 47: 179–189.

Kovacs

Seco

Royuela

Pena

Muriel

. The correlation between pain, catastrophizing, and disability in subacute and chronic low back pain: a study in the routine clinical practice of the spanish national health service. Spine (Phila Pa 1976) 2011; 36: 339–345.

Linton

Ryberg

. Do epidemiological results replicate? The prevalence and health-economic consequences of neck and back pain in the general population. Eur J Pain 2000; 4: 347–354.

EuroQol – a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy 1990; 16: 199–208.

Hush

Refshauge

Sullivan

De Souza

Maher

McAuley

. Recovery: what does this mean to patients with low back pain? Arthritis Rheum 2009; 61: 124–131.

Carnes

Underwood

. The importance of monitoring patient’s ability to achieve functional tasks in those with musculoskeletal pain. Int J Osteop Med 2008; 11: 26–32.

Kovacs

Abraira

Zamora

. Correlation between pain, disability, and quality of life in patients with common low back pain. Spine (Phila Pa 1976) 2004; 29: 206–210.

Wilson

Cleary

. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA 1995; 273: 59–65.

Helmhout

Harts

Staal

Candel

de Bie

. Comparison of a high-intensity and a low-intensity lumbar extensor training program as minimal intervention treatment in low back pain: a randomized trial. Eur Spine J 2004; 13: 537–547.

10.

Santos

Bredemeier

Rosa

Amantea

Xavier

. Impact on the quality of life of an educational program for the prevention of work-related musculoskeletal disorders: a randomized controlled trial. BMC Publ Health 2011; 11: 60.

11.

Kovacs

Abraira

Zamora

Fernandez

. The transition from acute to subacute and chronic low back pain: a study based on determinants of quality of life and prediction of chronic disability. Spine (Phila Pa 1976) 2005; 30: 1786–1792.

12.

Westcott

Winett

Annesi

Wojcik

Anderson

Madden

. Prescribing physical activity: applying the ACSM protocols for exercise type, intensity, and duration across 3 training frequencies. Phys Sportsmed 2009; 37: 51–58.

13.

Gusi

Prieto

Madruga

Garcia

Gonzalez-Guerrero

. Health-related quality of life and fitness of the caregiver of patient with dementia. Med Sci Sports Exerc 2009; 41: 1182–1187.

14.

Fairbank

Pynsent

. The Oswestry Disability Index. Spine (Phila Pa 1976) 2000; 25: 2940–2952; discussion 52.

15.

Alcántara-Bumbiedro

Flórez-García

Echávarri-Péreza

García-Péreza

. Escala de incapacidad por dolor lumbar de Oswestry. Rehabilitación 2006; 40(3): 8.

16.

Gusi

Del Pozo-Cruz

Olivares

Hernandez-Mocholi

Hill

. The Spanish version of the ‘STarT Back Screening Tool’ (SBST) in different subgroups. Aten Primaria 2011; Feb 4.

17.

Hill

Dunn

Lewis

. A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Rheum 2008; 59: 632–641.

18.

Walters

Brazier

. Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res 2005; 14: 1523–1532.

19.

Bell

Burnett

. Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: a systematic review. J Occup Rehabil 2009; 19: 8–24.

20.

Tavafian

Jamshidi

Montazeri

. A randomized study of back school in women with chronic low back pain: quality of life at three, six, and twelve months follow-up. Spine (Phila Pa 1976) 2008; 33: 1617–1621.

21.

Tavafian

Jamshidi

Mohammad

Montazeri

. Low back pain education and short term quality of life: a randomized trial. BMC Musculoskelet Disord 2007; 8: 21.

22.

Lang

Liebig

Kastner

Neundorfer

Heuschmann

. Multidisciplinary rehabilitation versus usual care for chronic low back pain in the community: effects on quality of life. Spine J 2003; 3: 270–276.

23.

Delitto

. Are measures of function and disability important in low back care? Phys Ther 1994; 74: 452–462.

24.

Seidel

. [The International Classification of Functioning, Disability and Health]. Nervenarzt 2005; 76: 79–90; quiz 1–2.

25.

van Tulder

Becker

Bekkering

. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006; 15(suppl 2): S169–S191.

26.

Zamora

Kovacs

Abraira

Fernandez

Lazaro

. The social tariff of EQ-5D is not adequate to assess quality of life in patients with low back pain. Qual Life Res 2007; 16: 523–531.

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Clinical effects of a nine-month web-based intervention in subacute non-specific low back pain patients: a randomized controlled trial

Abstract

Objective:

Design:

Setting:

Subjects:

Intervention:

Measures:

Results:

Conclusions:

Keywords

Get full access to this article

References

Supplementary Material